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Organization
SADRUNNISA HAMEEDI MD PA
Active
Organization
SADRUNNISA HAMEEDI MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SADRUNNISA HAMEEDI MD (OWNER)
(386) 574-9034
Entity
Organization
Contact information
Practice address
809 DELTONA BLVD STE A, DELTONA, FL 32725-7103
(386) 574-9034
(386) 574-9095
Mailing address
809 DELTONA BLVD STE A, DELTONA, FL 32725-7103
(386) 574-9034
(386) 574-9095
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME042306
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
052279100
—
FL
01
—
64510
MEDICARE
FL
Enumeration date
01/26/2012
Last updated
01/26/2012
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